How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $87.10 Median $104.71 Typical High $165.96 | Facility | None | $87.10 | $104.71 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $165.96 | Professional | None | $87.10 | $104.71 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $141.25 Typical High $275.42 | Professional | None | $95.50 | $141.25 | $275.42 |
Emblem Health Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Emblem Health Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $89.13 | Professional | None | $72.44 | $72.44 | $89.13 |
Horizon BCBS Setting Facility Modifier None Typical Low $398.11 Median $602.56 Typical High $831.76 | Facility | None | $398.11 | $602.56 | $831.76 |
Horizon BCBS Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $234.42 | Professional | None | $144.54 | $144.54 | $234.42 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $741.31 | Facility | None | $338.84 | $338.84 | $741.31 |
United Setting Professional Modifier None Typical Low $87.10 Median $131.83 Typical High $281.84 | Professional | None | $87.10 | $131.83 | $281.84 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Emblem Health Setting Professional Modifier HG · Opioid treatment program Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | HG · Opioid treatment program | $70.79 | $70.79 | $70.79 |
Where New Jersey sits
The same service costs 2.4 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New Jersey· 47th of 51
$126
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.